This site is intended for health professionals only

At the heart of general practice since 1960

Stressed GPs may finally get help as national support service launches 'from April'

A new national support service for all hard-pressed GPs will launch from next April, in what could be a major step forward for Pulse’s long-running campaign to highlight soaring rates of burnout amongst the profession.

NHS England chief executive Simon Stevens will announce a new ‘national service specification’ that will be rolled out regionally to help GPs with ‘burnout and stress’.

Pulse has been demanding that NHS bosses bring in a comprehensive occupational health service for all GPs across the country, since we conducted the largest ever survey of GP burnout in the UK in 2013.

A follow-up survey this year showed that 50% of GPs are at high risk of burnout, up four percentage points from the same survey two years ago.

The exact specifications of the new new GP support service remain unclear, but NHS England says it will tackle ‘varying levels of follow-up services depending on local commissioning arrangements by CCGs’.

It will build on programmes that have been successfully developed in some areas already, such as the Practitioner Health Programme (PHP) which provides confidential counselling to GPs in and around London.

The new scheme is part of of a £5m programme to improve the health of NHS staff and reduce sick leave, although NHS England could not specify how much of this would be spent on tackling GP burnout and GP leaders expression caution until the full details are released.

Mr Stevens will say later today: ‘When it comes to supporting the health of our own workforce, frankly the NHS needs to put its own house in order. And at a time when the pressures on GPs have never been greater, we need to extend the local practitioner health programmes that have been shown to help GPs stay healthy and get back to work when sick.’

In making today’s announcement, NHS England acknowledged that ‘increased pressures in general practice are one of the reasons why GPs leave the profession’ and said the new scheme will be developed in conjunction with the GPC and the RCGP.

Medical director of PHP and former RCGP chair Professor Clare Gerada – herself a long-time champion for GP mental health – praised Pulse’s Battling Burnout campaign for ‘shifting the prevailing wind’.

She said: ‘Pulse has done an excellent job, it has shifted the prevailing wind… It is good that Simon Stevens has listened, it is excellent news for once.’

She added: ‘Anything that acknowledges that there needs to be a confidential space for GPs to really re-energise if they have got serious problems and get help… can only be a good thing.’

Also praising the campaigning work of Pulse, GPC deputy chair Dr Richard Vautrey said Mr Stevens’ comments seemed to signal a more comprehensive support for GPs than previous plans to fund it only when performance issues were identified.

He said: ‘If the level of support that’s available to GPs in London is rolled out nationally, that would be a great improvement.’

But he added there was as yet too little detail available to know whether the national specification would be satisfactory, including on whether it would also cover staff at GP practices or to what extent CCGs would be expected to foot the bill.

June 2015 issue cover

Pulse’s June issue

RCGP chair Dr Maureen Baker said that better access for GPs to occupational health services was ‘a positive step forward’. She added: ‘It truly is a case of healthier doctors providing safer patient care and being better for patients.’ The College warned in July that GP fatigue was jeopardising patient safety on a ‘widespread scale’

Since 2013, Pulse has highlighted unprecedented pressure on GPs, urging GPs to write to their local MP, sending NHS England chair Professor Grant several letters regarding the issue and highlighting the problem to the national press.





Readers' comments (30)

  • Vinci Ho

    Cautiously optimistic (you know what I mean).
    Then again , is it logical to say pushing 7 days opening is just precipitating more burnouts and what is Harvey Dent's answer to that ?

    Unsuitable or offensive? Report this comment

  • It's like the patient who can't get an appointment follow up in hospital but the moment he becomes palliative you have a who entourage around his bed helping him pass away.
    Caution,,,,,,,pessimistic rather because they are contemplating allowing you to give back contracts or liquidating them at own whims if they feel you are stressed and 'pose a threat to patients'. Cynical? realistic rather since the track record speaks for itself. Remember the Hunt deal and how much hope we linked to that...

    Unsuitable or offensive? Report this comment

  • Vinci Ho

    No matter how you look at this . It has to become something people can believe with trust, like many other things said by the government .
    You may get a little clue, however ,on this by reading how BBC health news had headlined the news:
    'NHS staff offered Zumba to keep well'

    Unsuitable or offensive? Report this comment

  • Vinci Ho

    Harvey Dent is just the 'Messiah', isn't he?
    Reminds me of Wen Jiabao, the Premier of China who stepped down two years ago, if you are familiar with current politics of China....,.

    Unsuitable or offensive? Report this comment

  • Big deal

    I've totally lost interest in all these issues/problems/farces/debacles

    These are tough times for GPs/there has never been a better time to be a GP/GPs are well placed to...
    GPs need to reflect/there is no harm in GPs reflecting on their prescribing/we should not strike because we are left wing cardies/join a Balint group/join the Army and get resilience training/spot terrorists in your waiting room/check the heaters in your elderly patients houses and predict their unplanned admission

    And on, and on and on.......

    The siege mentality used to be fun, but not now

    Unsuitable or offensive? Report this comment

  • We are being encircled and prepared for the mortuary people. This is just someone to hold our hand. I pity those who will be left.

    4 years, 9 days to go...

    Unsuitable or offensive? Report this comment

  • "At a time when the pressures on GP's have never been greater...".

    Care to reflect on why that might be, Mr Stevens? Or perhaps the chances of this situation improving sometime before the next ice Age?

    He's deluded or uncaring. Binary choice.

    Retiring from 20 year partnership at Christmas and can't wait to leave this cesspool behind.

    Unsuitable or offensive? Report this comment

  • To little to late my friend.

    Unsuitable or offensive? Report this comment

  • I am doing my appraisal prep during a week of annual leave - too busy to do it in 'normal time" - and have hit the buffers after reading Pulse this morning. Under PDP I want to write "try to silently sit through another year of excrement being tipped on me from on high without the need for SSRI's", but I am worried my appraiser might not take it in good heart. Any advice? I am 44. Off to walk the dog and mull whatever happened to my job. And a lunchtime pint I suspect. Might do the trick for the creative writing section.

    Unsuitable or offensive? Report this comment

  • Will there be any GPs left in April?

    Unsuitable or offensive? Report this comment

  • Careful 10.43 ! -- They'll get you for alcohol abuse / substance addiction

    Unsuitable or offensive? Report this comment

  • Did my appraisal documentation this year in 4 hours, sitting on the bed. Deliberately left it until after April 1st.
    I recorded that I was ambivalent about continuing to work and intended to do the minimum required.
    Passed with flying colours and received considerable sympathy and support from my appraiser.
    Please do not waste too much time and effort on it. Do the minimum.

    Unsuitable or offensive? Report this comment

  • @ Anonymous | Sessional/Locum GP | 02 September 2015 11:03am

    I could kiss you! Please say you are a hot babe!

    Unsuitable or offensive? Report this comment

  • I could kiss you! Please say you are a hot babe!

    No, sadly not!

    My audit took approximately 30 minutes and she said it was one of the best she had seen......
    I simply reviewed the notes of 50 consecutive patients and made a note of the accuracy of my diagnosis, outcome for the patient and any learning points.


    Unsuitable or offensive? Report this comment

  • this can be a double edged can affect your fitness to practice.

    Unsuitable or offensive? Report this comment

  • ....... after the horse has bolted.

    Like many of my age 57 - I'm off. My solution to burnout.

    The job is now simply dreadful.

    Those who remain need to look after their health and try and where possible to limit their exposure to the more damaging and abusive aspects of the job.

    The Daily Mail is now gearing up to make part-time female doctors a target for blame and hatred.

    The tawdry show rolls on.

    Goodbye and good luck

    Unsuitable or offensive? Report this comment

  • 10.43am - the final appraisal before retirement is fun.

    Unsuitable or offensive? Report this comment

  • Is this likely to attract more health workers - would they be so stupid? Well if they do and then get sick they can join a fitness class or a resilience group and get slammed by the public for being given special services at tax payers expense

    Unsuitable or offensive? Report this comment

  • help for burn out gp is no different to those who can't work because of presure at work. sick note and a/depressant do not address the real issues at work . what help can occupational health provide apart from saying "get out of situation if you can't cope"

    Unsuitable or offensive? Report this comment

  • rest of the NHS gets offered preventative health programs - exercise, weight loss, stop smoking (and already have occupational health): GPs get offered services related to stress and burnout.
    No suggestion of any support for practice staff (what about practice managers in particular?).
    I'd doubt whether this new service (can the NHS afford to increase costs by £5m *additional* costs - which includes the Trust based services - and whose budget will this come from?) will deliver very much for GPs - or anyone except the companies gaining the contracts.
    I was right to retire when I did (31.3.15) and lucky to be past retirement age: to those thinking of retirement, it's great!

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page50 results per page

Have your say